Practice Quiz

CRNE Exam Prep

Category - Changes in Health

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A client with schizophrenia refuses to leave his room to have dinner. The client tells the nurse that the Queen of England will be seeing him in his room. The nurse’s best response is:
  1. “Anyone in this unit who refuses to follow our schedule shall be placed in seclusion.”
  2. “It is dinner time. Let’s go to the dining hall so you can eat.”
  3. “The Queen of England asked me to inform you that she’s meeting you in the dining hall instead.”
  4. “The Queen of England is not meeting you. You don’t know her personally.”
Explanation
Answer: B - A delusional client is so deeply engaged in his false beliefs that he tends to forget about eating, drinking, and taking a bath; therefore, these needs are a priority for the nurse. Instructions must be clear, concise, and firm. Option A threatens the client, which does not address the needs of the client. Option C deceives the client, which could possibly cause mistrust. The last option challenges and belittles the client and does not address his needs.
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